Evidence map›Paper›PMID 29669857›Full record

ArticleBMJ quality & safety2018

Understanding ethical climate, moral distress, and burnout: a novel tool and a conceptual framework.

Elizabeth Dzeng, J Randall Curtis

Abstract readEditorialComment
In one paragraph

Article in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. A call to action: Ameliorating moral distress among veterinarians.The Canadian veterinary journal = La revue veterinaire canadienne · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. The predictive factors of moral courage among hospital nurses.Philosophy, ethics, and humanities in medicine : PEHM · 2023
    Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng.The Southern African journal of critical care : the official journal of the Critical Care Society · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Elizabeth DzengDepartment of Medicine, Division of Hospital Medicine, University of California, San Francisco, California, USA.
J Randall CurtisDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Cambia Palliative Care Center of Excellence, University of Washington, Seattle, Washington, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Identifying contributing factors to burdensome ICU treatments in older adults with Alzheimer's disease and related dementias in the United States and United KingdomR03AG060098 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DZENG, ELIZABETH · 2018 to 2019
$240k
NCATS NIH HHS KL2 TR001870NIA NIH HHS R03 AG060098
6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

Indexed as

Burnout, ProfessionalSelf-AssessmentBurnout, PsychologicalClimateHumansIntensive Care UnitsMorals

Identifiers

PMID29669857
PMCPMC6540991

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.